Individual provider · Type 1 NPI
Rebecca Randall
Prosthetic/Orthotic Supplier · Charleston, SC
Practice location
7 Maverick St
Charleston, SC 29403-4114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotic Fitter | 225000000X | 3976 (SC) |
| Other Technician | 247200000X | CFTS3976 (SC) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1164723151
Rebecca Randall's National Provider Identifier is 1164723151, issued on Nov 8, 2010. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charleston, SC. The record was last updated on Nov 8, 2010.